Organization
CRESCENT WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KADRY-HASSANEIN MD (PRESIDENT)
(858) 967-3070
Entity
Organization
Contact information
Practice address
1310 W GRANGER AVE, MODESTO, CA 95350-3911
(858) 936-7307
Mailing address
5580 LA JOLLA BLVD # 622, LA JOLLA, CA 92037-7651
(858) 936-7307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
10/27/2024
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